Individual provider Active NPI

Amanda Groves Kopchak

  • Professional Counselor
  • Berea, OH
National Provider Identifier
1114544731
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303296-SUPV Issued in OH
Practice address
46 Front St
Berea, OH 44017-1986
Phone
(440) 560-3331
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2303296-SUPV OH Primary

Addresses

Primary practice location

46 Front St
Berea, OH 44017-1986

Mailing address

3801 Chestnut Rd
Seven Hills, OH 44131-3736
Phone (216) 235-8673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119001994 OH Practitioner - Mental Health Counselor 1951892710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5905 Brecksville Rd
Independence, OH 44131-1517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2303296-SUPVOHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone of Hope Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

5905 Brecksville Rd
Independence, OH 44131
Phone (216) 524-4673

253 N State St
Ste 200
Westerville, OH 43081
Phone (614) 824-4285

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1114544731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CHESTNUT RD",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441313736",
            "telephone_number": "216-235-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171986",
            "telephone_number": "440-560-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVES KOPCHAK",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303296-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berea, OH

Sources for this page

Verify at the official NPI Registry.